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COVID-19 and sarcopenia-related traits: a bidirectional Mendelian randomization study
Chao Liu1,2, Ningyuan Liu1, Yi Zeng1,2
1Department of Orthopedics, the Second Xiangya Hospital of Central South University, Changsha, China.
Frontiers in Endocrinology
|May 26, 2023
Summary
This study investigated the causal link between coronavirus disease 2019 (COVID-19) and sarcopenia (SP). Findings suggest an indirect interaction, not a direct causal relationship, between COVID-19 and SP-related traits.
Area of Science:
- Genetics
- Epidemiology
- Gerontology
Background:
- Coronavirus disease 2019 (COVID-19) is linked to skeletal muscle loss and sarcopenia (SP).
- Sarcopenia is associated with increased COVID-19 susceptibility, hospitalization, and severity.
- A causal relationship between COVID-19 and sarcopenia-related traits remains unclear.
Purpose of the Study:
- To investigate the potential causal relationship between COVID-19 and sarcopenia-related traits using Mendelian randomization.
- To clarify the interaction between COVID-19 and sarcopenia.
Main Methods:
- Utilized Mendelian randomization (MR) analysis.
- Extracted data from the COVID-19 Host Genetic Initiative and UK Biobank without sample overlap.
- Employed multiple MR methods (IVW, weighted median, MR-Egger, RAPS, CAUSE, MR-APSS) and sensitivity analyses (MR-Egger intercept, Cochran's Q, MR-PRESSO) to assess causality and pleiotropy.
Main Results:
- The MR-APSS method, after Bonferroni correction, did not provide sufficient evidence for a direct causal relationship between COVID-19 and sarcopenia-related traits.
- Most other MR analyses were nominally consistent with the MR-APSS findings, indicating a lack of strong direct causality.
Conclusions:
- The study suggests an indirect interaction between COVID-19 and sarcopenia-related traits rather than a direct causal link.
- Older adults are advised to focus on adequate nutrition and exercise to manage sarcopenia during the COVID-19 pandemic.
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